A review of emerging membrane-based microalgal-bacterial processes for wastewater treatment: Process configurations, biological and membrane performance, and perspectives

Microalgal-bacterial (MB) consortia create an excellent eco-system for simultaneous COD/BOD and nutrients (N and P) removals in a single step with significant reduction in or complete elimination of aeration and carbonation in the biological wastewater treatment processes. The integration of membrane separation technology with the MB processes has created a new paradigm for research and development. This paper focuses on a comprehensive and critical literature review of recent advances in these emerging processes. Novel membrane process configurations and process conditions affecting the biological performance of these novel systems have been systematically reviewed and discussed. Membrane fouling issues and control of MB biofilm formation and thickness associated with these emerging suspended growth or immobilized biofilm processes are addressed and discussed. The research gaps, challenges, outlooks of these emerging processes are identified and discussed in-depth. The findings from the literature suggest that the membrane-based MB processes are advanced biotechnologies with a significant reduction in energy consumption and process simplification and high process efficiency that are not achievable with current technologies in wastewater treatment. There are endless opportunities for research and development of these novel and emerging membrane-based MB processes.

Biological performance and membrane fouling of a microalgal-bacterial membrane photobioreactor for wastewater treatment without external aeration and carbonation

Biological nutrient removal processes involving the use of activated sludge (AS) to treat municipal wastewater normally result in high aeration energy consumption and significant greenhouse gas (GHG) emissions. Therefore, developing cost-efficient and environmentally friendly processes for wastewater treatment is vital. In this work, a novel non-aerated microalgal-bacterial membrane photobioreactor (MB-MPBR) was proposed, and its feasibility for organic contaminant and nutrient removals was evaluated, for the first time. The effects of inoculation ratio (microalgae to bacteria (M/B)) on the biological performance and membrane fouling were systematically investigated. The results showed that 95.9% of the chemical oxygen demand (COD), 74.5% of total nitrogen (TN), 98.5% of NH4+-N and 42.0% of total phosphorus (TP) were removed at an inoculation M/B ratio of 3:2 at steady state, representing a significant improvement compared to the M/B inoculation ratio of 1:3. Additionally, the higher inoculation M/B ratio (3:2) significantly promoted the biomass production owing to the favorable mutual exchange of oxygen and carbon dioxide between microalgae and bacteria. Cake layer formation was the primary fouling mechanism owing to the absence of aeration scouring on the membrane surface. The membrane fouling rate was slightly higher at the higher inoculation ratio (M/B = 3:2) owing to the increased biomass and extracellular polymeric substances (EPS) productions, despite the larger particle size. These results demonstrated that the non-aerated MB-MPBR could achieve superior biological performance, of which the inoculation M/B ratio was of critical importance for the initiation and maintenance of microalgal-bacterial symbiotic system, yet possibly caused severer membrane fouling in the absence of external aeration and carbonation. This study provides a new perspective for further optimizing and applying non-aerated MB-MPBR to enhance municipal wastewater treatment.

Impaired local Vitamin D3 metabolism contributes to IL-36g overproduction in epithelial cells in chronic rhinosinusitis with nasal polyps

BACKGROUND

Vitamin D (VD) possesses immunomodulatory properties, but its role in chronic rhinosinusitis with nasal polyps (CRSwNP) remains poorly studied. Herein, we aim to explore the regulation and function of VD3 in CRSwNP.

METHODS

25-hydroxyvitamin D3 (25VD3) levels in serum and tissue lysates were detected by ELISA. The expression of VD receptor (VDR) and cytochrome P450 family 27 subfamily B member 1 (CYP27B1), the enzyme that converts 25VD3 to the active 1,25-hydroxyvitamin D3 (1,25VD3), and their expression regulation in human nasal epithelial cells (HNECs) were studied by RT-PCR, western blotting, immunofluorescence, and flow cytometry. RNA sequencing was performed to identify genes regulated by 1,25VD3 in HNECs. HNECs and polyp tissue explants were treated with 1,25VD3, 25VD3, and dexamethasone.

RESULTS

25VD3 levels in serum and nasal tissue lysates were decreased in patients with eosinophilic and noneosinophilic CRSwNP than control subjects. The expression of VDR and CYP27B1 were reduced in eosinophilic and noneosinophilic CRSwNP, particularly in nasal epithelial cells. VDR and CYP27B1 expression in HNECs were downregulated by interferon y and poly (I:C). Polyp-derived epithelial cells demonstrated an impaired ability to convert 25VD3 to 1,25VD3 than control tissues. 1,25VD3 and 25VD3 suppressed IL-36y production in HNECs and polyp tissues, and the effect of 25VD3 was abolished by siCYP27B1 treatment. Tissue 25VD3 levels negatively correlated with IL-36y expression and neutrophilic inflammation in CRSwNP.

CONCLUSION

Reduced systemic 25VD3 level, local 1,25VD3 generation and VDR expression result in impaired VD3 signaling activation in nasal epithelial cells, thereby exaggerating IL-36y production and neutrophilic inflammation in CRSwNP.

A Review of Temperature Effects on Membrane Filtration

Membrane technology plays a vital role in drinking water and wastewater treatments. Among a number of factors affecting membrane performance, temperature is one of the dominant factors determining membrane performance. In this review, the impact of temperature on membrane structure, fouling, chemical cleaning, and membrane performance is reviewed and discussed with a particular focus on cold temperature effects. The findings from the literature suggest that cold temperatures have detrimental impacts on membrane structure, fouling, and chemical cleaning, and thus could negatively affect membrane filtration operations and performance, while warm and hot temperatures might expand membrane pores, increase membrane flux, improve membrane chemical cleaning efficiency, and interfere with biological processes in membrane bioreactors. The research gaps, challenges, and directions of temperature effects are identified and discussed indepth. Future studies focusing on the impact of temperature on membrane processes used in water and wastewater treatment and the development of methods that could reduce the adverse effect of temperature on membrane operations are needed.

Microalgae cell adhesions on hydrophobic membrane substrates using quartz crystal microbalance with dissipation

Microalgal cell adhesion and biofilm formation are affected by interactions between microalgae strains and membrane materials. Variations of surface properties of microalgae and membrane materials are expected to affect cell-membranes and cell-cell interactions and thus initial microalgal cell adhesion and biofilm formation rates. Hence, it should be possible to identify the dominant mechanisms controlling microalgal cell adhesion and biofilm formation. The effects of surface properties of three different microalgal strains and three different types of membrane materials on microalgal cell adhesion and biofilm formation were systematically investigated in real time by monitoring changes in the oscillation frequency and dissipation of the quartz crystal resonator (QCM-D). The results revealed that in general a higher surface free energy, more negative zeta potential, and higher surface roughness of membrane materials positively correlated with a larger quantity of microalgae cell deposition, while a more hydrophilic microalgae with a larger negative zeta potential preferred to attach to a more hydrophobic membrane material. The adhered microalgal layers exhibited viscoelastic properties. The relative importance of these mechanisms in controlling microalgae cell attachment and biofilm formation might vary, depending on the properties of specific microalgae species and hydrophobic membrane materials used.

In Situ Copolymerization Studies of Lignin, Acrylamide, and Diallyldimethylammonium Chloride: Mechanism, Kinetics, and Rheology

In this work, free-radical polymerization of kraft lignin, acrylamide (AM), and diallyldimethylammonium chloride (DADMAC) was studied in detail. In situ nuclear magnetic resonance (NMR), rheological analysis, and particle size techniques were conducted to understand the physicochemical characteristics of this copolymerization system. The copolymerization of lignin-AM and lignin-DADMAC had activation energies of 65.7 and 69.3 kJ/mol, respectively, and followed the first-order kinetic model, which was monitored by in situ H1 NMR results. The highest conversions of AM and DADMAC were 96 and 68%, respectively, in the copolymerization of lignin, AM, and DADMAC at the molar ratio of 5.5:2.4:1, pH 2 and 85 °C. The results illustrated that the participation of AM in the reaction was essential for polymerizing DADMAC to lignin due to less steric hindrance of AM than DADMAC facilitating its bridging performance. The monomer conversion ratio and dynamic rheology of the reaction system indicated that lignin acted as an inhibitor in the copolymerization reaction. The particle size analysis of the reaction mixtures reflected the alteration in the size of particles from coarse particles (>300 μm) to fine particles (<10 and 10-50 μm) and suspension to colloidal systems when the reaction progressed. The oscillation study of the reaction media confirmed the gradual increase in the viscosity of the reaction media, illustrating the crosslinking of lignin, AM, and DADMAC.

Surface properties of membrane materials and their role in cell adhesion and biofilm formation of microalgae

In this study, the effects of surface properties of membrane materials on microalgae cell adhesion and biofilm formation were investigated using Chlorella vulgaris and five different types of membrane materials under hydrodynamic conditions. The results suggest that the contact angle (hydrophobicity), surface free energy, and free energy of cohesion of membrane materials alone could not sufficiently elucidate the selectivity of microalgae cell adhesion and biofilm formation on membrane materials surfaces, and membrane surface roughness played a dominant role in controlling biofilm formation rate, under tested hydrodynamic conditions. A lower level of biofilm EPS production was generally associated with a larger amount of biofilm formation. The zeta potential of membrane materials could enhance initial microalgae cell adhesion and biofilm formation through salt bridging or charge neutralization mechanisms.

Constraints on Sub-GeV Dark Matter-Electron Scattering from the CDEX-10 Experiment

We present improved germanium-based constraints on sub-GeV dark matter via dark matter-electron (χ-e) scattering using the 205.4  kg·day dataset from the CDEX-10 experiment. Using a novel calculation technique, we attain predicted χ-e scattering spectra observable in high-purity germanium detectors. In the heavy mediator scenario, our results achieve 3 orders of magnitude of improvement for m_{χ} larger than 80  MeV/c^{2} compared to previous germanium-based χ-e results. We also present the most stringent χ-e cross-section limit to date among experiments using solid-state detectors for m_{χ} larger than 90  MeV/c^{2} with heavy mediators and m_{χ} larger than 100  MeV/c^{2} with electric dipole coupling. The result proves the feasibility and demonstrates the vast potential of a new χ-e detection method with high-purity germanium detectors in ultralow radioactive background.

Exotic Dark Matter Search with the CDEX-10 Experiment at China's Jinping Underground Laboratory

A search for exotic dark matter (DM) in the sub-GeV mass range has been conducted using 205 kg day data taken from a p-type point contact germanium detector of the CDEX-10 experiment at China's Jinping underground laboratory. New low-mass dark matter searching channels, neutral current fermionic DM absorption (χ+A→ν+A) and DM-nucleus 3→2 scattering (χ+χ+A→ϕ+A), have been analyzed with an energy threshold of 160 eVee. No significant signal was found; thus new limits on the DM-nucleon interaction cross section are set for both models at the sub-GeV DM mass region. A cross section limit for the fermionic DM absorption is set to be 2.5×10^{-46}  cm^{2} (90% C.L.) at DM mass of 10  MeV/c^{2}. For the DM-nucleus 3→2 scattering scenario, limits are extended to DM mass of 5 and 14  MeV/c^{2} for the massless dark photon and bound DM final state, respectively.

Evaluation of membrane fouling in a microalgal-bacterial membrane photobioreactor: Effects of SRT

As a novel system, the microalgal-bacterial membrane photobioreactor (MPBR) has better performance than the conventional MBRs in membrane fouling control. Nevertheless, how the operating conditions affect its fouling performance is rarely reported. In this study, a microalgal-bacterial MPBR was set and continuously operated to treat synthetic wastewater. Effects of solids retention time (SRT, 10, 20, and 30 d) on the membrane fouling were investigated. The results showed that the relationship between membrane fouling and SRT was nonlinear and the fastest membrane fouling was observed at SRT 20 d. The predominant fouling mechanism was gel layer formation. X-ray photoelectron spectroscopy results showed a significant difference in the surface composition of the microalgal-bacterial consortia at different SRTs. The biological flocs at SRT of 20 d had the largest floc size, moderate filament abundance, and the highest content of bound EPS and SMP. The highest membrane fouling at SRT 20 d was mainly attributed to the highest concentration of EPS and SMP. Environmental stresses and fierce competition between microalgae and bacteria are considered to be the underlying reasons for the elevated production of EPS and SMP. In brief, optimizing the SRT value to control the balanced growth of microalgae and bacteria and keep them at an appropriate ratio is critical for delaying membrane fouling in microalgal-bacterial MPBR.

Membrane Photobioreactor Applied for Municipal Wastewater Treatment at a High Solids Retention Time: Effects of Microalgae Decay on Treatment Performance and Biomass Properties

Membrane photobioreactor (MPBR) technology is a microalgae-based system that can simultaneously realize nutrient recovery and microalgae cultivation in a single step. Current research is mainly focused on the operation of MPBR at a medium SRT. The operation of MPBR at a high SRT is rarely reported in MPBR studies. Therefore, this study conducted a submerged MPBR to treat synthetic municipal wastewater at a long solids retention time of 50 d. It was found that serious microalgae decay occurred on day 23. A series of characterizations, including the biomass concentration, chlorophyll-a content, nutrients removal, and physical-chemical properties of the microalgae, were conducted to evaluate how microalgae decay affects the treatment performance and biomass properties. The results showed that the biomass concentration and chlorophyll-a/MLSS dropped rapidly from 3.48 to 1.94 g/L and 34.56 to 10.71 mg/g, respectively, after the occurrence of decay. The effluent quality significantly deteriorated, corresponding to the total effluent nitrogen and total phosphorus concentration sharply rising and exceeding that of the feed. In addition, the particle became larger, the content of the extracellular polymeric substances (EPSs) decreased, and the soluble microbial products (SMPs) increased instantaneously. However, the filtration resistance had no significant increase because of the comprehensive interactions of the floc size, EPSs, and SMPs. The above results suggest that the MPBR system cannot maintain long-term operation under a high SRT for municipal wastewater treatment. In addition, the biological treatment performance of the MPBR deteriorated while the antifouling performance of the microalgae flocs improved after the occurrence of decay. The occurrence of microalgae decay was attributed to the double stresses from the light shading and intraspecific competition under high biomass concentration. Therefore, to avoid microalgae decay, periodic biomass removal is required to control the environmental stress within the tolerance range of the microalgae. Further studies are required to explore the underlying mechanism of the occurrence of decay.

Comparison between Thermophilic and Mesophilic Membrane-Aerated Biofilm Reactors—A Modeling Study

The concept of thermophilic membrane-aerated biofilm reactor (ThMABR) is studied by modeling. This concept combines the advantages and overcomes the disadvantages of conventional MABR and thermophilic aerobic biological treatment and has great potential to develop a new type of ultra-compact, highly efficient bioreactor for high-strength wastewater and waste gas treatments. Mathematical modeling was conducted to investigate the impact of temperature (mesophilic vs. thermophilic) and oxygen partial pressure on oxygen and substrate concentration profiles, membrane–biofilm interfacial oxygen concentration, oxygen penetration distance, and oxygen and substrate fluxes into biofilms. The general trend of oxygen transfer and substrate flux into biofilm between ThAnMBR and MMABR was verified by the experimental results in the literature. The results from modeling studies indicate that the ThMABR has significant advantages over the conventional mesophilic MABR in terms of improved oxygen and pollutant flux into biofilms and biodegradation rates, and an optimal biofilm thickness exists for maximum oxygen and substrate fluxes into the biofilm.

Membrane fouling in a microalgal-bacterial membrane photobioreactor: Effects of P-availability controlled by N:P ratio

Microalgal-bacterial membrane photobioreactor (MB-MPBR) is a promising technology to simultaneously remove organics and nutrients from wastewater. However, membrane fouling in MB-MPBR was seldom studied. In this study, potential effects of P-availability on biomass properties and membrane fouling in MB-MPBR were investigated. Under a nitrogen sufficient condition, a lower N:P ratio of 3.9:1 (P-rich) caused more severe membrane fouling. The dominant fouling mechanism was cake layer formation. Serial characterization showed a smaller particle size distribution (PSD), more free microalgae and significantly different surface composition of microalgal-bacterial flocs at N:P ratio of 3.9:1 compared with that of 9.7:1. The variations on PSD and surface composition were fully consistent with that of filtration resistance and thus considered as the primary contributors to the different fouling performance. The above results suggested that controlling microalgae/bacteria consortium in a good ratio by optimizing operating conditions is the key event for membrane fouling control in MB-MPBRs.

Anaerobic membrane bioreactors for wastewater treatment: Challenges and opportunities

Anaerobic membrane bioreactors (AnMBRs) have become a new mature technology and entered into the wastewater market, but there are several challenges to be addressed for wide applications. In this review, we discuss challenges and potentials of AnMBRs focusing on wastewater treatment. Nitrogen and dissolved methane control, membrane fouling and its control, and membrane associated cost including energy consumption are main bottlenecks to facilitating AnMBR application in wastewater treatment. Accumulation of dissolved methane in AnMBR permeate decreases the benefit of methane energy and contributes to methane gas emissions to atmosphere. Separate control units for nitrogen and dissolved methane add system complexity and increase capital and operating and maintenance (O & M) costs in AnMBR-centered wastewater treatment. Alternatively, methane-based denitrification can be an ideal nitrogen control process due to simultaneous removal of nitrogen and dissolved methane. Membrane fouling and energy associated with membrane fouling control are major limitations, in addition to membrane cost. More efforts are required to decrease capital and O & M costs associated with the control of dissolved methane nitrogen and membrane fouling to facilitate AnMBRs for wastewater treatment. PRACTITIONER POINTS: AnMBRs can accelerate anaerobic wastewater treatment including dilute wastewater. Nitrogen and dissolved methane control is detrimental for AnMBR application to wastewater treatment. Membrane biofilm reactors using gas-permeable membranes are suitable for simultaneous nitrogen and dissolved methane control. High capital and O & M costs from membranes are a major bottleneck to wide application of AnMBRs. Dynamic membranes could be an option to reduce capital and O & M costs for AnMBRs.

[Inhibitory effect of Xinhui citrus fermentation liquor on liver fibrosis in mice]

OBJECTIVE

To investigate the inhibitory effect of Xinhui citrus fermentation liquor on liver fibrosis in mice.

OBJECTIVE

Mouse models of liver fibrosis were established by intraperitoneal injection of CCl₄ in 105 male C57BL/6 mice, followed by gavage of 0.1 mL 40% CCl₄ olive oil 3 times a week (model group, n=49) or daily gavage of citrus liquor at the dose of 0.26 mL (citrus liquor group, n=56) for 8 weeks. Seven mice receiving only olive oil treatment (0.1 mL, 3 times a week) and another 7 treated with citrus liquor served as the control group. Liver tissues and serum samples were collected from 7 mice in the citrus liquor group and model group each week and from the mice in the two control groups at the 8th week for pathological examination of the liver tissues using HE staining and Sirius red staining and for determination of the biochemical indexes of liver function.

OBJECTIVE

The mice in the model group showed progressively worsened liver fibrosis with obvious hepatic steatosis, necrosis and inflammatory cell infiltration. These liver pathologies were much ameliorated in citrus liquor group, which showed significantly reduced vacuolation, inflammatory cell infiltration, collagen deposition and the Ishak score of the liver tissue (P < 0.05). Serum levels of cholyglycine, alanine aminotransferase, transglutaminase and alanine aminotransferase were all significantly lower in citrus liquor group than in the model group (P < 0.05).

OBJECTIVE

Xinhui citrus fermentation liquor has protective effect on the liver and can significantly ameliorate liver fibrosis in mice.

Predicting difficult-to-treat chronic rhinosinusitis by noninvasive biological markers

BACKGROUND

Previous studies have been limited to the utility of clinical features and invasive nasal mucosal biomarkers in the prediction of chronic rhinosinusitis (CRS) outcomes. This study aimed to identify noninvasive biomarkers associated with difficult- to-treat CRS, enabling physicians to subgroup patients into risk groups for poor outcome before surgery.

METHODS

Three hundred and nine CRS patients undergoing endoscopic sinus surgery were finally enrolled. Patients treated with oral or intranasal glucocorticoids within 3 months or 1 month before surgery, respectively, were excluded. Baseline clinical charac- teristics, nasal secretions and peripheral blood samples were collected before surgery. The protein levels of 39 biological mar- kers were detected by the Bio-Plex suspension chip method. Classification and regression tree analysis was applied to establish prediction model for difficult-to-treat CRS determined one year after surgery. A random forest algorithm was used to confirm the discriminating factors that formed the classification tree.

RESULTS

In the cohort with nasal secretion sample (n = 189), 21% of CRS patients were diagnosed as difficult-to-treat after 1 year of follow-up. Nasal secretion CCL17 level, hyposmia score, allergic rhinitis comorbidity, and nasal secretion MIP-1β level were found important predictors of difficult-to-treat CRS. A classification tree separated patients into 5 subgroups leading to an overall predictive accuracy of 94%. However, none of the plasma biological markers were associated with difficult-to-treat CRS in the cohort with blood sample (n = 128).

CONCLUSIONS

Patients with difficult-to-treat-CRS were characterized by higher nasal secretion levels of CCL17 and MIP-1β severe hyposmia and concomitant allergic rhinitis. The classification tree could be useful to identify patients with high risk of poor outcome prior to surgery and offer more personalized interventions. However, since only patients without preoperative steroid treatments were included in this study, the generalization of our predictive model in other patient populations should be conside- red with caution.

The biological performance of a novel microalgal-bacterial membrane photobioreactor: Effects of HRT and N/P ratio

A microalgal-bacterial membrane photobioreactor (MB-MPBR) was developed for simultaneous COD and nutrients (N and P) removals from synthetic municipal wastewater in a single stage for a long-term operation over 350 days. The effects of hydraulic retention time (HRT) and N/P ratio on the biological performance were systematically evaluated for the first time. The results showed that a lower N/P ratio (3.9:1) and shorter HRT (2 d) promoted more biomass production, as compared to a high HRT (3 d) and a high N/P ratio (9.7:1). The highest biomass concentration (2.55 ± 0.14 g L^-1) and productivity (127.5 mg L^-1·d^-1) were achieved at N/P ratio of 3.9:1 and HRT of 2 d due to the highest nitrogen and phosphorus loadings under such conditions. A COD and ammonia-N removal efficiency of over 96% and 99%, respectively, were achieved regardless of HRTs and N/P ratios. In the absence of nitrogen or phosphorus deficiency, shorter HRT (2 d) yielded a higher nitrogen and phosphorus uptake but lower removal efficiency. In addition, the imbalance N/P ratio (9.7:1) would decrease nitrogen or phosphorus removal. Overall, the results suggested that it was feasible to simultaneously achieve complete or high removal of COD, nitrogen, and phosphorous in MB-MPBR under the appropriate conditions. This study demonstrated for the first time that MB-MPBR is a promising technology that could achieve a high-quality effluent meeting the discharge standards of COD and nutrients in one single step.

2D shear wave elastography combined with age and serum biomarkers prior to kasai surgery predicts native liver survival of biliary atresia infants

BACKGROUND

The prognosis of patients with biliary atresia (BA) after Kasai portoenterostomy (KPE) varies, and precisely predicting the outcomes of KPE before surgery is still challenging.

METHODS

A total of 158 patients who underwent KPE in our hospital were included in this study. The patients in the training cohort were recruited from January 2012 to October 2017 (n = 118), and then, those in the validation cohort were recruited from November 2017 to April 2019 (n = 40). Combined nomogram models were developed based on two-dimensional shear wave elastography (2D SWE) values and other biomarkers. The utility of the proposed models was evaluated by C-index.

RESULTS

2D SWE played a potentially important role in predicting native liver survival (NLS) of BA patients with a C-index of 0.69 (0.63 to 0.75) in the training cohort and 0.76 (0.67 to 0.85) in the validation cohort. The nomogram A based on 2D SWE values, age, gamma-glutamyl transferase (GGT) and aspartate aminotransferase-to-platelet ratio (APRI) had a better C-index in the training cohort [0.74 (0.68-0.80) vs. 0.66 (0.60-0.73), P = 0.017] and in the validation cohort [0.78 (0.70-0.86) vs. 0.60 (0.49-0.71), P = 0.002] than the nomogram B (without 2D SWE). Using risk score developed from nomogram A, we successfully predicted 88.0% (22/25) of patients in the training cohort and 75.0% (9/12) in the validation cohort to have survival time of less than 12 months after KPE.

CONCLUSION

The combined nomogram model based on 2D SWE values, age, GGT and APRI prior to KPE can effectively predict NLS in BA infants.

Optimal antithrombotic strategy for patients with atrial fibrillation and acute coronary syndrome or percutaneous coronary intervention: updated meta-analysis of randomised controlled trials

Background

The optimal antithrombotic strategy for the growing proportion of patients with indications for both dual antiplatelet therapy and long-term anticoagulation remains controversial, with recent randomized trials published and mixed recommendations in guidelines. We meta-analysed bleeding and cardiovascular outcomes comparing dual versus triple and non-vitamin K oral anticoagulants (NOAC) versus vitamin K oral anticoagulants (VKA) antithrombotic regimens.

Methods

MEDLINE, Embase and Cochrane databases were searched for original randomised trials with relevant search terms from January 1980-December 2019. Two authors evaluated studies for inclusion and extracted data to pool efficacy and safety endpoints.

Results

The search yielded 331 articles, with 22 full-texts reviewed and six randomised trials totalling 12,146 patients included. Dual antithrombotic strategies had reduced TIMI major and minor bleeding (odds ratios 0.59, 95% confidence interval 0.44–0.80), as well as all, major, and minor bleeding (odds ratios 0.55–0.59, all P&lt;0.05), with no differences in mortality, myocardial infarction, stroke, stent thrombosis or composite cardiovascular events (odds ratio 0.91–1.26, all P&gt;0.05), compared with triple antithrombotic strategies in six trials. NOAC regimens had lower TIMI major and minor bleeding (odds ratio 0.64, 0.49–0.85), as well as major, minor and intracranial bleeding (odds ratios 0.36–0.66, all P&lt;0.05), and similar no differences in mortality or all cardiovascular endpoints (odds ratios 0.85–1.13, all P&gt;0.05), compared with VKA regimens in four trials.

Conclusion

Dual antithrombotic therapy with NOAC had significantly reduced bleeding without increase in cardiovascular events and mortality compared to their counterparts, and should generally be recommended in patients needing dual antiplatelet and long term anticoagulation therapy.

Funding Acknowledgement

Type of funding source: None

MicroRNA-155 plays critical effects on Th2 factors expression and allergic inflammatory response in type-2 innate lymphoid cells in allergic rhinitis

OBJECTIVE

Allergic rhinitis (AR) is a chronic inflammatory disease. This study aimed to investigate the role of microRNA-155 (miR-155) in type-2 innate lymphoid cells (ILC2s) on AR.

PATIENTS AND METHODS

Nasal mucosa tissues and peripheral blood samples were collected. mRNA expression of miR-155, interleukin-25 (IL-25), and interleukin-33 (IL-33) in nasal mucosa tissues was determined using quantitative Real Time-Polymerase Chain Reaction (qRT-PCR). The AR model was established by injecting with murine IL-33. The frequency of ILC2s was quantified using flow cytometry. MiR-155 agomir or antagomir was intranasally administrated to mice. MiR-155 and helper T cell 2 (Th2) cytokines were measured with quantitative Real-time PCR (qRT-PCR), enzyme-linked immunosorbent assay (ELISA) or Western blotting, respectively. Hematoxylin and eosin (HE) staining was used for the histopathological examination.

RESULTS

Compared with controls, mRNA levels miR-155 (p<0.001), IL-25 (p<0.05), and IL-33 (p<0.001) were increased in nasal mucosa tissues of AR patients and AR mice, and ILC2s ratios were enhanced in human peripheral blood (p<0.0001), which were much higher after intranasal administration with miR-155 agomir (p<0.0001). MiR-155 expression of AR mice was significantly reduced after intranasal administration with miR-155 antagomir (p<0.05). Frequencies of ILC2s in human peripheral blood significantly correlated with miR-155 (r=0.4803, p=0.0130). MiR-155 up-regulation markedly increased frequencies of nasal rubbing/sneezing and levels of IL-4, IL-5, IL-9, and IL-13. Pathological changes were worsened after miR-155 agomir and ameliorated after miR-155 antagomir administration. MiR-155 agomir mice (p<0.001) showed higher ILC2s, whereas lower in miR-155 antagomir mice compared to AR mice (p<0.05).

CONCLUSIONS

MiR-155 played critical effects on Th2 factor expression and allergic inflammatory response in ILC2 cells in AR.

Direct Detection Constraints on Dark Photons with the CDEX-10 Experiment at the China Jinping Underground Laboratory

We report constraints on the dark photon effective kinetic mixing parameter (κ) with data taken from two p-type point-contact germanium detectors of the CDEX-10 experiment at the China Jinping Underground Laboratory. The 90% confidence level upper limits on κ of solar dark photon from 205.4 kg-day exposure are derived, probing new parameter space with masses (m_{V}) from 10 to 300  eV/c^{2} in direct detection experiments. Considering dark photon as the cosmological dark matter, limits at 90% confidence level with m_{V} from 0.1 to 4.0  keV/c^{2} are set from 449.6 kg-day data, with a minimum of κ=1.3×10^{-15} at m_{V}=200  eV/c^{2}.

Search for Light Weakly-Interacting-Massive-Particle Dark Matter by Annual Modulation Analysis with a Point-Contact Germanium Detector at the China Jinping Underground Laboratory

We present results on light weakly interacting massive particle (WIMP) searches with annual modulation (AM) analysis on data from a 1-kg mass p-type point-contact germanium detector of the CDEX-1B experiment at the China Jinping Underground Laboratory. Datasets with a total live time of 3.2 yr within a 4.2-yr span are analyzed with analysis threshold of 250 eVee. Limits on WIMP-nucleus (χ-N) spin-independent cross sections as function of WIMP mass (m_{χ}) at 90% confidence level (C.L.) are derived using the dark matter halo model. Within the context of the standard halo model, the 90% C.L. allowed regions implied by the DAMA/LIBRA and CoGeNT AM-based analysis are excluded at >99.99% and 98% C.L., respectively. These results correspond to the best sensitivity at m_{χ}<6  GeV/c^{2} among WIMP AM measurements to date.

Constraints on Spin-Independent Nucleus Scattering with sub-GeV Weakly Interacting Massive Particle Dark Matter from the CDEX-1B Experiment at the China Jinping Underground Laboratory

We report results on the searches of weakly interacting massive particles (WIMPs) with sub-GeV masses (m_{χ}) via WIMP-nucleus spin-independent scattering with Migdal effect incorporated. Analysis on time-integrated (TI) and annual modulation (AM) effects on CDEX-1B data are performed, with 737.1 kg day exposure and 160 eVee threshold for TI analysis, and 1107.5 kg day exposure and 250 eVee threshold for AM analysis. The sensitive windows in m_{χ} are expanded by an order of magnitude to lower DM masses with Migdal effect incorporated. New limits on σ_{χN}^{SI} at 90% confidence level are derived as 2×10^{-32}∼7×10^{-35}  cm^{2} for TI analysis at m_{χ}∼50-180  MeV/c^{2}, and 3×10^{-32}∼9×10^{-38}  cm^{2} for AM analysis at m_{χ}∼75  MeV/c^{2}-3.0  GeV/c^{2}.

A retrospective study of changes of histopathology of nasal polyps in adult Chinese in central China

BACKGROUND

The factors contributing to the eosinophilic inflammation in chronic rhinosinusitis with nasal polyps (CRSwNP) remain elusive. This study was designed to investigate the inflammatory patterns and tissue remodeling of CRSwNP in patients from central China at two time points over 14 years apart and the influence of age.

METHODS

One hundred and eight CRSwNP patients enrolled in 2000 and 2001 (group A), and 134 CRSwNP patients enrolled in 2014 and 2015 (group B) were retrospectively studied. Hematoxylin-eosin stained tissue sections were used to study characteristics of inflammation and tissue remodeling. Immunohistochemistry was used to further evaluate the cells positive for eosinophil cationic protein (ECP), IL-5, IgE, tryptase or myeloperoxidase (MPO). Time- and age-related difference was analyzed.

RESULTS

The number of eosinophils and proportion of eosinophilic CRSwNP were increased, whereas the numbers of total inflammatory cells and lymphocytes were decreased in group B as compared with group A. Group B had severer epithelial squamous metaplasia and basement membrane thickening, and a lower number of mucosal glands than group A. Higher numbers of ECP plus, IL-5 plus and IgE plus cells were detected in group B than those in group A. The elderly (60 yrs or older) and non-elderly (less than 60 yrs) had a comparable number of eosinophils and ratio of eosinophilic CRSwNP.

CONCLUSION

Eosinophilic inflammation has been significantly augmented over time, which is associated with increased Th2 response and IgE production, and accompanied by exaggerated epithelium remodeling in CRSwNP patients from central China. Age has no significant influence on eosinophilic inflammation.

Comparison of efficacy of fluticasone propionate versus clarithromycin for postoperative treatment of different phenotypic chronic rhinosinusitis: a randomized controlled trial

BACKGROUND

Chronic rhinosinusitis (CRS) can be divided to CRS without nasal polyps (CRSsNP) and eosinophilic and non-eosinophilic CRS with nasal polyps (CRSwNP). There is little evidence on the efficacy of glucocorticoids and macrolides in different phenotypic patients. The aim of this study was to compare the benefit of glucocorticoids and macrolides following endoscopic sinus surgery (ESS) in different phenotypic CRS.

METHODS

This study was a prospective single-blind comparative effectiveness trial. A total of 187 Chinese patients with CRS were stratified to CRSsNP and eosinophilic and non-eosinophilic CRSwNP group and then randomized to receive fluticasone propionate nasal spray at 200 microgram or clarithromycin tablet at 250 mg once daily for 3 months after ESS. Oral prednisone was given as a rescue therapy after the stop of study medication. Patients were assessed before ESS and 1, 3, 6 and 12 months after dosing. Symptom severity was scored by patients using visual analog scale method and endoscopic findings were scored by the senior physician blinded to treatment according to European Position Paper on Rhinosinusitis and Nasal polyps 2012.

RESULTS

The total and individual symptom scores, and total and individual endoscopic domain scores were reduced significantly after ESS in both medication groups, whereas no significant difference was observed for two medications at most follow-up visits in each subtype of CRS. No difference in the frequency of subjects with rescue therapy or refractory CRS was found between two medication groups either.

CONCLUSIONS

We could not show significant difference of effect between fluticasone propionate and clarithromycin in the post-operative treatment for CRSsNP and eosinophilic and non-eosinophilic CRSwNP patients.

[Construction and analysis of gene co-expression networks in intracranial aneurysm]

Objective: To analyze the expression microarray data in the public databases of intracranial aneurysms (IA) using bioinformatics, and to provide important information for the study of disease mechanisms. Methods: Gene co-expression network was constructed by weighted gene co-expression network analysis (WGCNA) based on the dataset (GSE75436) and pivot genes were identified. Using the online tool DAVID (Database for Annotation, Visualization, and Integrated Discovery) to perform GO function enrichment and KEGG path analysis on modules highly related to IA. Results: Three IA-related modules were screened out, and 14 pivot genes (COL3A1, SPARC, CDH11, COL5A1, HOPX, CLEC11A, GALNT10, ADAMTS2, CEMIP, KIAA1755, COL11A1, ZIC2, CDKN2A, and LINC00460) in the brown module were identified; the analysis of GO showed that the brown module was mainly enriched in extracellular matrix organization, extracellular matrix organization, cell adhesion and other biological processes; the analysis of KEGG indicated that the brown module involved in ECM-receptor interaction, Focal adhesion, protein digestion and absorption, PI3K-Akt signaling pathway. Conclusion: Based on WGCNA, we identified modular and pivotal genes that are critical to the development of IA, and they may become potential biomarkers and/or therapeutic targets.

Reversibility of membrane performance and structure changes caused by extreme cold water temperature and elevated conditioning water temperature

The effects of extreme cold water temperature, elevated cleaning water temperature, cleaning time on membrane performance, and pore size distribution were studied using flat-sheet polyvinylidene fluoride (PVDF) membranes. Extreme cold water temperature led to a decrease in membrane permeability, and membrane pore size shrinkage. The use of periodical warm water (35 °C) membrane conditioning could almost completely recover the membrane permeability and pore size structure loss caused by extreme cold water temperature, while the use of room temperature (23±1 °C) conditioning recovered majority of the membrane permeability and structure loss caused by extreme cold water temperature. Changes in membrane performance correlate well with changes in membrane structure. Membranes periodically conditioned in warmer water temperature showed a higher permeability than that periodically conditioned at room temperature from a long-term operation of three months. The results suggest the change in PVDF membrane performance and structure caused by extreme cold water temperature is almost completely reversible after periodical warm water conditioning, and thus the use of warm water conditioning and/or chemical cleaning will benefit the recovery of membrane performance and structure change caused by extreme cold water temperature in cold regions.

A review of membrane fouling and its control in algal-related membrane processes

Membrane technologies have received much attention in microalgae biorefinery for nutrients removal from wastewater, carbon dioxide abatement from the air as well as the production of value-added products and biofuel in recent years. This paper provides a state-of-the-art review on membrane fouling issues and its control in membrane photobioreactors (MPBRs) and other algal-related membrane processes (harvesting, dewatering, and biofuel production). The mechanisms of membrane fouling and factors affecting membrane fouling in algal-related membrane processes are systematically reviewed. Also, strategies to control membrane fouling in algal-related membrane processes are summarized and discussed. Finally, the gaps, challenges, and opportunities in membrane fouling control in algal-related membrane technologies are identified and discussed.

Limits on Light Weakly Interacting Massive Particles from the First 102.8 kg×day Data of the CDEX-10 Experiment

We report the first results of a light weakly interacting massive particles (WIMPs) search from the CDEX-10 experiment with a 10 kg germanium detector array immersed in liquid nitrogen at the China Jinping Underground Laboratory with a physics data size of 102.8 kg day. At an analysis threshold of 160 eVee, improved limits of 8×10^{-42} and 3×10^{-36}  cm^{2} at a 90% confidence level on spin-independent and spin-dependent WIMP-nucleon cross sections, respectively, at a WIMP mass (m_{χ}) of 5  GeV/c^{2} are achieved. The lower reach of m_{χ} is extended to 2  GeV/c^{2}.

Experimental study on the evolution of Peregrine breather with uniform-depth adverse currents

A series of laboratory experiments were performed to study the evolution of Peregrine breather (PB) in a wave flume in finite depth, and wave trains were initially generated in a region of quiescent water and then propagated into an adverse current region for which the current velocity strength gradually increased from zero to an approximately stable value. The PB is often considered as a prototype of oceanic freak waves that can focus wave energy into a single wave packet. In the experiment, the cases were selected with the relative water depths k_{0}h (k_{0} is the wave number in quiescent water and h is the water depth) varying from 3.11 through 8.17, and the initial wave steepness k_{0}a_{0} (a_{0} is the background wave amplitude) ranges between 0.065 and 0.120. The experimental results show the persistence of the breather evolution dynamics even in the presence of strong opposing currents. We have shown that the characteristic spectrum of the PB persists even on strong currents, thus making it a viable characteristic for prediction of freak waves. It was also found that the adverse currents tend to shift the focusing point upstream compared to the cases without currents. Furthermore, it was found that uniform-depth adverse currents can reduce the breather extension in time domain.

Development and Validation of a Nomogram for Predicting Incidence of Early Allograft Dysfunction Following Liver Transplantation

OBJECTIVE

Early allograft dysfunction (EAD) is frequent complication post-liver transplantation and is closely related to recipient's mortality and morbidity. We sought to develop a nomogram for predicting incidence of EAD.

METHODS

Based on multivariate analysis of donor, recipient, and operation data of 199 liver transplants from deceased donors between 2013 and 2015, we identified 5 significant risk factors for EAD to build a nomogram. The model was subjected to prospective validation with a cohort of 42 patients who was recruited between January and June 2016. The predictive accuracy and discriminative ability were measured by area under the receiver operating characteristic curve (AUC). The agreement between nomogram prediction and actual observation was showed by the calibration curve.

RESULTS

Incidence rate of EAD in the training set and validation cohort were 55.91% (104/199) and 54.76% (23/42), respectively. In the training set, according to the results of univariable and multivariable analysis, 5 independent risk factors including donor gender, donor serum gamma-glutamyl transpeptidase level, donor serum urea level, donor comorbidities (respiratory, cardiac, and renal dysfunction), and recipient Model for End-stage Liver Disease score were identified and assembled into the nomogram. The AUC of internal validation using bootstrap resampling and prospective validation using the external cohort of 42 patients was 0.74 and 0.60, respectively. The calibration curves for probability of EAD showed acceptable agreement between nomogram prediction and actual observation. According to the score table, the probability of EAD was under 30% when the total point tally was under 72. But when the total was up to 139, the risk of EAD increased to 60%.

CONCLUSION

We've established and validated a nomogram that can provide individual prediction of EAD for liver transplant recipients. The practical prognostic model may help clinicians to qualify the liver graft accurately, making a more reasonable allocation of organs.

Structural responses of metallic glasses under neutron irradiation

Seeking nuclear materials that possess a high resistance to particle irradiation damage is a long-standing issue. Permanent defects, induced by irradiation, are primary structural changes, the accumulation of which will lead to structural damage and performance degradation in crystalline materials served in nuclear plants. In this work, structural responses of neutron irradiation in metallic glasses (MGs) have been investigated by making a series of experimental measurements, coupled with simulations in ZrCu amorphous alloys. It is found that, compared with crystalline alloys, MGs have some specific structural responses to neutron irradiation. Although neutron irradiation can induce transient vacancy-like defects in MGs, they are fully annihilated after structural relaxation by rearrangement of free volumes. In addition, the rearrangement of free volumes depends strongly on constituent elements. In particular, the change in free volumes occurs around the Zr atoms, rather than the Cu centers. This implies that there is a feasible strategy for identifying glassy materials with high structural stability against neutron irradiation by tailoring the microstructures, the systems, or the compositions in alloys. This work will shed light on the development of materials with high irradiation resistance.

Thermophilic membrane bioreactors: A review

This study undertakes a state-of-the-art review on thermophilic membrane bioreactors (ThMBRs). Thermophilic aerobic membrane bioreactors (ThAeMBR) and thermophilic anaerobic membrane bioreactors (ThAnMBR) have been widely tested for various high-temperature industrial wastewater treatments at lab- and pilot-scale studies and full-scale applications. The biological and membrane performances of the ThAeMBRs and ThAnMBRs could be better, comparable or poorer, as compared to the mesophilic ones. In general, sludge yield was much lower, biodegradation kinetic was higher, and microbial community was less diversity in the ThAeMBR and ThAnMBR systems. The results from the literature show that ThMBR technology has demonstrated many advantages and is a promising technology for industrial wastewater treatment and sludge digestion. Furthermore, challenges and opportunities of various ThMBRs for industrial applications are identified and discussed.

Linear-shear-current modified Schrödinger equation for gravity waves in finite water depth

A nonlinear Schrödinger equation for the propagation of two-dimensional surface gravity waves on linear shear currents in finite water depth is derived. In the derivation, linear shear currents are assumed to be a linear combination of depth-uniform currents and constant vorticity. Therefore, the equation includes the combined effects of depth-uniform currents and constant vorticity. Next, using the equation, the properties of the modulational instability of gravity waves on linear shear currents are investigated. It is showed that shear currents significantly modify the modulational instability properties of weakly nonlinear waves. Furthermore, the influence of linear shear currents on Peregrine breather which can be seen as a prototype of freak waves is also studied. It is demonstrated that depth-uniform opposing currents can reduce the breather extension in both the time and spatial domain in intermediate water depth, but following currents has the adverse impact, indicating that a wave packets with freak waves formed on following currents contain more hazardous waves in finite water depth. However, the corresponding and coexisting vorticity can counteract the influence of currents. Additionally, if the water depth is deep enough, shear currents have negligible effect on the characteristics of Peregrine breathers.

Interferon-γ-induced insufficient autophagy contributes to p62-dependent apoptosis of epithelial cells in chronic rhinosinusitis with nasal polyps

BACKGROUND

Autophagy is a lysosomal degradation pathway that is essential for cell survival, differentiation, and homeostasis. This study aimed to investigate the contribution of autophagy to the pathogenesis of CRS with nasal polyps (CRSwNP).

METHODS

The expression of autophagic proteins [microtubule-associated protein 1 light chain 3B (LC3B)-II, autophagy-related proteins (Atg), and Beclin 1], substrate proteins (p62 and ubiquitinated proteins), and apoptotic signaling molecules [cysteine-aspartic protease-3 and cysteine-aspartic protease-8, and poly-ADP-ribose polymerase] in the sinonasal mucosa and nasal epithelial cells (NECs) was detected by immunohistochemistry and Western blotting. Autophagic vacuoles were observed with transmission electron microscopy. BEAS-2B cells and NECs were treated with rapamycin, bafilomycin A1, or various cytokines. In some experiments, cultured NECs were transfected with small interfering RNA targeting p62 (sip62) or Atg5 (siAtg5). Cultured cells were analyzed with Western blotting and flow cytometry.

RESULTS

Although autophagic protein expression and autophagic vacuole formation were increased in both eosinophilic and noneosinophilic CRSwNP, particularly in NECs, there was also an up-regulation of substrate proteins and apoptotic signaling molecules. IFN-γ, but not IL-4, IL-13, or IL-17A, simultaneously enhanced LC3B-II and p62 levels as well as cell apoptosis in BEAS-2B cells and/or normal NECs. Bafilomycin A1 up-regulated the levels of LC3B-II and p62 in polyp NECs and IFN-γ-treated normal NECs. IFN-γ-induced apoptosis of normal NECs was exaggerated by bafilomycin A1 and siAtg5. Sip62 suppressed apoptosis of polyp NECs and IFN-γ-treated NECs. IFN-γ protein levels were increased in both eosinophilic and noneosinophilic CRSwNP.

CONCLUSIONS

IFN-γ induces activated but insufficient autophagy and thus contributes to a degree to p62-dependent apoptosis of NECs in CRSwNP.

Pathways of Acetyl-CoA Metabolism Involved in the Reversal of Palmitate-Induced Glucose Production by Metformin and Salicylate

The pathways through which fatty acids induce insulin resistance have been the subject of much research. We hypothesise that by focussing on the reversal of insulin resistance, novel insights can be made regarding the mechanisms by which insulin resistance can be overcome. Using global gene and lipid expression profiling, we aimed to identify biological pathways altered during the prevention of palmitate-induced glucose production in hepatocytes using metformin and sodium salicylate. FAO hepatoma cells were treated with palmitate (0.075 mM, 48 h) with or without metformin (0.25 mM) and sodium salicylate (2 mM) in the final 24 h of palmitate treatment, and effects on glucose production were determined. RNA microarray measurements followed by gene set enrichment analysis were performed to investigate pathway regulation. Lipidomic analysis and measurement of secreted bile acids and cholesterol were also performed. Reversal of palmitate-induced glucose production by metformin and sodium salicylate was characterised by co-ordinated down-regulated expression of pathways regulating acetyl-CoA to cholesterol and bile acid biosynthesis. All 20 enzymes that regulate the conversion of acetyl-CoA to cholesterol were reduced following metformin and sodium salicylate. Selected findings were confirmed using primary mouse hepatocytes. Although total intracellular levels of diacylglycerol, triacylglycerol and cholesterol esters increased with palmitate, these were not, however, further altered by metformin and sodium salicylate. 6 individual diacylglycerol, triacylglycerol and cholesterol ester species containing 18:0 and 18:1 side-chains were reduced by metformin and sodium salicylate. These results implicate acetyl-CoA metabolism and C18 lipid species as modulators of hepatic glucose production that could be targeted to improve glucose homeostasis.

Interaction of thymic stromal lymphopoietin, IL-33, and their receptors in epithelial cells in eosinophilic chronic rhinosinusitis with nasal polyps

BACKGROUND

Thymic stromal lymphopoietin (TSLP), IL-25, and IL-33 system contribute to the initiation and development of Th2 responses. This study aimed to explore the involvement of TSLP, IL-25, IL-33, and their receptors in type 2 T-helper (Th) responses in chronic rhinosinusitis with nasal polyps (CRSwNPs) and their cross-regulation in human nasal epithelial cells (HNECs).

METHODS

Immunohistochemistry, quantitative RT-PCR, ELISA, Bio-Plex assay, and flow cytometry were used to detect the expression of TSLP/common γ-like TSLP receptor (TSLPR)/IL-7 receptor α (IL-7Rα), IL-25/IL-17B receptor (IL-17RB), and IL-33/membrane-bound ST2 (ST2L)/soluble ST2 (sST2) in sinonasal mucosa and HNECs. HNECs cultured at an air-liquid interface were used to explore the expression in regulation of these cytokine systems.

RESULTS

Compared with controls and noneosinophilic CRSwNP, the expression of TSLP/TSLPR/IL-7Rα and ST2L/sST2 was significantly increased in eosinophilic CRSwNP, predominantly in epithelial cells. In contrast, the expression of IL-33 and IL-25/IL-17RB was enhanced in epithelial cells in both eosinophilic and noneosinophilic CRSwNP compared to controls. The expression of TSLP, TSLPR, and ST2L was positively correlated with symptom and computer tomography scan scores in eosinophilic CRSwNP and with Th2 cytokine expression in sinonasal mucosa. The expression of ST2L was correlated with TSLP and its receptor expression. TSLP could induce ST2L expression that promoted IL-33-induced TSLP expression in HNECs. In addition, TSLP/TSLPR/IL-7Rα and ST2L could be induced by Th2 cytokines, while IL-25/IL-17RB and IL-33 could be upregulated by Th1/Th17 cytokines, in HNECs.

CONCLUSIONS

The positive feedback loop between TSLP, IL-33 and their receptors, and Th2 cytokines may facilitate Th2-skewed inflammation in eosinophilic CRSwNP.

EIF5A2 predicts outcome in localised invasive bladder cancer and promotes bladder cancer cell aggressiveness in vitro and in vivo

BACKGROUND

EIF5A2, eukaryotic translation initiation factor 5A2, is associated with several human cancers. In this study, we investigated the role of EIF5A2 in the metastatic potential of localised invasive bladder cancer (BC) and its underlying molecular mechanisms were explored.

METHODS

The expression pattern of EIF5A2 in localised invasive BC was determined by immunohistochemistry. In addition, the function of EIF5A2 in BC and its underlying mechanisms were elucidated with a series of in vitro and in vivo assays.

RESULTS

Overexpression of EIF5A2 was an independent predictor for poor metastasis-free survival of localised invasive BC patients treated with radical cystectomy. Knockdown of EIF5A2 inhibited BC cell migratory and invasive capacities in vitro and metastatic potential in vivo and reversed epithelial-mesenchymal transition (EMT), whereas overexpression of EIF5A2 promoted BC cells motility and invasiveness in vitro and metastatic potential in vivo and induced EMT. In addition, we found that EIF5A2 might activate TGF-β1 expression to induce EMT and drive aggressiveness in BC cells. EIF5A2 stabilized STAT3 and stimulated nuclear localisation of STAT3, which resulted in increasing enrichment of STAT3 onto TGF-β1 promoter to enhance the transcription of TGF-β1.

CONCLUSIONS

EIF5A2 overexpression predicts tumour metastatic potential in patients with localised invasive BC treated with radical cystectomy. Furthermore, EIF5A2 elevated TGF-β1 expression through STAT3 to induce EMT and promotes aggressiveness in BC.